# A Rare Case of Single-Rooted Maxillary First Molar With Type II Canal Configuration

**Authors:** Hemal Bajaj, Rashmi Nair, Neetu Maurya, Aditya Patel, Saee Wazurkar

PMC · DOI: 10.7759/cureus.63076 · 2024-06-24

## TL;DR

This paper describes a rare case of a maxillary first molar with a single root and a complex canal structure, successfully treated using advanced imaging and microscopy.

## Contribution

The paper presents a rare clinical case and demonstrates the utility of CBCT and DOM in managing unusual root canal morphology.

## Key findings

- A single-rooted maxillary first molar with Vertucci’s type II canal configuration was successfully treated.
- CBCT and DOM were critical for diagnosing and managing the atypical canal morphology.
- The case highlights the importance of advanced imaging in endodontic treatment planning.

## Abstract

The morphological variations in roots and root canals vary greatly in multi-rooted teeth making it a challenge for accurate diagnosis and effective endodontic therapy. In addition to using technology appropriately, this article highlights how important it is to have a complete understanding of root canal morphology. With the assistance of cone-beam computed tomography (CBCT) images and a dental operating microscope (DOM), successful endodontic treatment was performed on a single-rooted maxillary first molar with Vertucci’s type II canal configuration. CBCT and DOM proved to be valuable tools for the effective diagnosis and management of this atypical morphology.

## Full-text entities

- **Diseases:** facial asymmetry (MESH:D005146), swelling (MESH:D004487), type (MESH:D006969), tenderness (MESH:D063806), apical abscess (MESH:D010482), pain (MESH:D010146), carious lesion (MESH:D003731), periapical radiolucency (MESH:D010483)
- **Chemicals:** AH Plus sealer (-), water (MESH:D014867), NaOCl (MESH:D012973), EDTA (MESH:D004492)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11269819/full.md

---
Source: https://tomesphere.com/paper/PMC11269819